After a serious COVID-19 illness, the road to the sanatorium is closed: an absurd situation has arisen due to the new Powder Order



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According to the interviewee, her father was in resuscitation due to a serious illness COVID-19: he had pneumonia and respiratory problems. He was released from the hospital last Thursday for failing to infect others.

“The family doctors said that we had to go to rehabilitation in 3 months because the treatment was difficult, the course of the disease was difficult. Now he is going through the biggest rehabilitation he has today, ”said Karina.

However, there was an unexpected problem when trying to register at the sanitarium on Monday: It turns out that the order that regulates that all people entering the sanitarium must have a negative result on the PCR test was changed on Saturday. This also applies to those who have already gotten sick.

After a serious COVID-19 illness, the road to the sanatorium is closed: an absurd situation has arisen due to the new Powder Order

© DELFI / Kirill Chekhovsky

“I can’t call SAM for the second day, the hotline says they don’t test those who are sick and they are not told they will need it now.” He was still in touch, they also said, upon first hearing about such a change.

Like a vicious cycle, the sanatorium does not allow treatment, but the doctors, NVSC, the hotline have not even heard of it. No healthcare professional has been notified. The second day I call and I have to say the order number and when it was signed, “said the interlocutor.

Also, even if it is possible to test after illness, there is a high probability that it will be positive even if the person is no longer a vector. However, the test can show a positive result for several months after illness.

“The family doctors did everything possible to rehabilitate as soon as possible. We only got it at the end of May and now we wanted to travel on our own. But without the test, they do not accept neither on their own nor are they reimbursed by the fund of the health insurance.

I learned of the need for a test at the sanitarium. But they didn’t say the order number. When I tried to register for the COVID-19 test, together with the hotline consultant, we both found the order, we looked for it for a long time, but we found it, ”said the woman.

A man in a hospital

A man in a hospital

It’s true, as Karina says, SAM managed to contact her mother. However, they did not receive the necessary assistance even after contact.

“All they said was that it is as is, the order is stupid, but there is nothing that can be done. I thought that maybe there would be some exceptions, because the man was very sick, but so far this is the end of the road and I can’t do anything, ”lamented the Vilnius woman.

A little later that night, the interlocutor’s father was found in the hospital due to health problems.

“All doctors unequivocally say to travel to the sanatorium and as soon as possible. But no one accepts us yet, the condition is difficult. I can’t call until SAM … “, the woman wrote in the letter.

Such an order was made due to the increase in infections.

After contacting SAM, it was confirmed that the order was issued and is valid. This was decided after the epidemiological situation in the country began to deteriorate again, and new strains of coronavirus infected even infected people. However, according to SAM, if a sick person receives a positive PCR test result, they can receive services in a rehabilitation center indicated by the Ministry of Health.

Rehabilitation

Rehabilitation

Here is SAM’s answer.

As of April 30. It came into force in 2021 by the Minister of Health. April 29 order no. V-976, according to which a patient and accompanying person must be tested for SARS-CoV-2 by PCR even if they have recovered from COVID-19 disease or have been vaccinated against COVID-19 disease.

Previous reservations have been removed when patients are hospitalized for emergency care; scheduled inpatient services (including inpatient day services); Birth; medical rehabilitation services; supportive treatment and nursing services; transferred from one ward of a hospital to another ward or hospital; housed in social assistance institutions.

These changes were adopted after evaluating the opinion of infectious disease physicians, epidemiologists, suggestions from other specialists, and information and suggestions provided by the administrators of the organizing hospitals. It was evaluated that:
– we have a high level of infection by the SARS-CoV-2 virus in society;

– taking into account the spread of SARS-CoV-2 virus strains (e.g. South African, British, Brazilian, etc.) and the fact that several cases of people previously infected with coronavirus have been reinfected and sickened in 90 days. reported, COVID-19;

– there is a high risk of infecting or infecting other people in hospitals, particularly those with a higher risk of developing a serious illness;

– It is important to minimize the possibility of outbreaks in health centers, as a large proportion of people would not receive services in the event of an outbreak;
– since vaccination is 100% it does not protect against infection and recurrence does not prevent reinfection with the virus. This was confirmed by a series of studies carried out and the experience of the organizing hospitals in conducting studies for all planned hospitalized patients;

– a sufficient level of public immunization has not yet been achieved.

Santariškės Clinics

Santariškės Clinics

© DELFI / Kirill Chekhovsky

Therefore, a patient who is referred to a medical facility providing inpatient medical rehabilitation and / or psychosocial rehabilitation services must undergo a 72-hour SARS-CoV-2 virus test (by PCR). anticipation. before arriving at a medical institution providing inpatient medical rehabilitation and / or psychosocial rehabilitation services and a negative response has been received.

A sample can be taken for analysis:

– at the mobile point: in this case, the person registers for the examination through the Hotline 1808 by completing the electronic registration form electronically at the address, or is registered by a specialist appointed by the head of the primary care institution ambulatory. ;

– in an institution providing personal primary health care services;
– if the SARS-CoV-2 virus test (PCR test) has not been performed, the sample can be taken in a treatment center that provides medical rehabilitation and / or inpatient psychosocial rehabilitation services;

– if the patient is transferred from an active treatment hospital (hereinafter referred to as hospital), the SARS-CoV-2 virus test (by PCR) is carried out in the hospital from which the patient leaves.

If a patient tests positive for SARS-CoV-2 (CRP), he or she may receive services from a rehabilitation center designated by the Minister of Health, the 2020 State of Emergency Operations Manager. December 25 at the decision no. V-3007 “On the organization of more symptomatic treatment services in patients with COVID-19 disease (coronavirus infection)” in the list of Rehabilitation Institutions.

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